September 2009
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Patients Who Require Ultra-High Opioid Doses
The goal of ultra-high dosage therapy is to relieve pain and improve function in those chronic pain patients that are profoundly ill, impaired, and/or bed- or house-bound ù without producing sedation.
by Jennifer Schneider, MD; Alfred Anderson, MD; and Forest Tennant MD, Dr PH
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Disordered Sacroiliac Joint Pain
The partial displacement or dislocation of the sacroiliac joint is a poorly understood and seldom diagnosed condition that may be responsible for a number of back pain or upper body painful conditions.
by Laurence E. Badgley, MD
Pain Management in Nursing Homes and Hospice Care
Despite the availability of a wide variety of effective pharmacologic and
non-pharmacologic treatments, understanding of pain remains a significant problem in
nursing homes and hospices.
by Leonard B. Goldstein, DDS, PhD and Davina I. Glaser, RN, MS, CHPN
Helping Patients Understand the World of Pain Medicine
Patients need to better understand their health care providers' concerns regarding
alcohol, drugs and pain medications, as well as what is expected of them in their role as
patients in order to maximize treatment outcomes.
by Ron Lechnyr, PhD, DSW and Terri Lechnyr, PhD
Multidisciplinary Case Report : Share the Risk Pain Management in a Dedicated Facility
First in a series of case reports.
by David Bergman, MD, DLFAPA; Joseph Shurman, MD; and Phyllis Meagher, MBA
Relief of Symptoms Associated with Peripheral Neuropathy
Low-level consumption of glutathione-enhancing micronutrients may be beneficial in
relieving symptoms of neuropathy of unknown origin.
by Mark Gostine, MD and Larry Pawl, MD
Guest Editorial: The Multi-Disciplinary Pain Medicine Fellowship
Will it change the practice of pain medicine?
by John E. Tetzlaff, MD
Continuous Lumbar Epidural Infusion of Steroid
Administering a continuous lumbar epidural infusion of corticosteroid and normal saline
via an indwelling epidural catheter/infusion pump over a 3-day period offers a
minimally-invasive option for treatment of lumbar radiculopathy.
by Michael Shapiro, MD
Anomalous Opiate Detection in Compliance Monitoring
There are multiple variables outside of laboratory testing to consider when
interpreting a patient's test results and deciding whether or not they are compliant
with their medication.
by Michael Evans, PhD; Scott Kriger, PhD; Joshua Gunn, PhD; and Eugene Schwilke
Publisher's Message: Don't Choose Up Sides
by Marvin Rosenfeld
Publisher's Message: Don't Choose Up Sides
by Marvin Rosenfeld
Headache: Efficacy of Stimulants in Migraineurs with Comorbidities
Stimulants may be beneficial for chronic migraine patients presenting with various
comorbidities such as attention deficit hyperactivity disorder (ADHD), depression and
fatigue.
by Lawrence Robbins, MD and Joseph Maides, DO
Head and Neck Pain: Hand Tremor with Dental Medicine Implications
While many hand tremor cases may be linked to genetic predisposition or other origin,
some hand and body tremors may be trigeminal nerve-related.
by Edwin A. Ernest, III, DMD
Clinical Report: Non-Surgical Spinal Decompression (NSSD)
In the presence of overt, symptomatic disc disease, preliminary results of NSSD suggest
a stronger therapeutic effect than conventional traction and may offer a non-surgical
alternative to some patients.
by Tiziano Marovino, DPT, DAAPM
Ethics and Health Policy: Anticipating Biotechnological Trends in Pain Care
Precautionary Purpose and Process
by James Giordano, PhD and Dennis K. McBride, PhD, MPA
Laser Therapy: Thermal Imaging Guided Laser Therapy - Part 2
An Innovative Method for Determining Optimal Treatment Location and Effectiveness
by William J. Kneebone, RN, DC
HIT Advisor: EMR Adoption
It is not all about taking advantage of the economic stimulus incentive payments!
by Greg Winterkamp
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